Tri-State Orthopaedic Surgeons, Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

50000637A Issued in IN

Legal business name

TRI-STATE ORTHOPAEDIC SURGEONS, INC.

Practice address

225 Crosslake Dr
Evansville, IN 47715-8198

Phone

(812) 477-1558

NPI assigned

Oct 13, 2005

Last updated

Oct 4, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Philip Rawley, MBA

Title

Ceo

Phone

(812) 477-1558

Specialties & licenses 9

Addresses

Medicare fee-for-service enrollment

Enrolled in IN4 enrollments

Enrollment records 4

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Tri-State Orthopaedic Surgeons, Inc.

  • Physical Therapist
  • Evansville, IN
  • NPI 1730357237

  O20080228000136

  Same enrollment

Locations

Practitioners 201

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leah Anderson

  • Occupational Therapist
  • Evansville, IN
  • NPI 1528935194
  Medicare reassignment Care Compare group NPD
• William A Ante, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Evansville, IN
  • NPI 1518964303
  Medicare reassignment Care Compare group NPD
• Kurtis D Anthony, NP

  • Nurse Practitioner
  • Evansville, IN
  • NPI 1558975045
  Medicare reassignment Care Compare group NPD
• Daniel J Baumann, DPT, ATC, CSCS

  • Physical Therapist
  • Evansville, IN
  • NPI 1679558092
  Medicare reassignment Care Compare group NPD
• Andrew J Bender, OT

  • Occupational Therapist
  • Evansville, IN
  • NPI 1912136037
  Medicare reassignment Care Compare group NPD
• Tyler Andrew Boink, OTR/L

  • Occupational Therapist
  • Evansville, IN
  • NPI 1477915171
  Medicare reassignment Care Compare group NPD
• Michael B Boyd, D.O.

  • Orthopaedic Surgery Physician
  • Evansville, IN
  • NPI 1538107818
  Medicare reassignment Care Compare group NPD
• Megan Elizabeth Burns, DPT

  • Physical Therapist
  • Evansville, IN
  • NPI 1578282562
  Medicare reassignment Care Compare group NPD
• Sydney Marie Altmeyer Butler, MOT

  • Occupational Therapist
  • Evansville, IN
  • NPI 1386351054
  Medicare reassignment Care Compare group NPD
• Jenna Leigh Byrley, DPT

  • Physical Therapist
  • Evansville, IN
  • NPI 1043987100
  Medicare reassignment Care Compare group NPD
• Melissa Carr, N.P.

  • Nurse Practitioner
  • Evansville, IN
  • NPI 1992702740
  Medicare reassignment Care Compare group NPD
• Shelby Clark

  • Physician Assistant
  • Evansville, IN
  • NPI 1982257507
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1073501003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CROSSLAKE DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477158198",
            "telephone_number": "812-477-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CROSSLAKE DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477158198",
            "telephone_number": "812-477-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE ORTHOPAEDIC SURGEONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "RAWLEY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-477-1558",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "50000637A",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri-State Ophthalmology Consultants PMC
• Tri-State Optical, Inc. (Cunningham Optical One)
• Tri-State Oral Surgery, LLC
• Tri-State Orthopaedic Surgeons, Inc
• Tri-State Orthopaedic Surgeons, Inc
• Tri-State Orthopaedic Surgeons, Inc.
• Tri-State Pathology Associates, LLP
• Tri-State Pediatric Associates LLC
• Tri-State Radiation Oncology Centers LLC
• Tri-State RX LLC (Nations Medicines)

• Orthopaedic Surgery Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Orthopaedic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.